CLASSIFICATION Bipolar disorders a. ) Bipolar 1 disorder; Hypo manic; with or without full inter episode recovery, with rapid cycling and with seasonal pattern, and Manic; classified according to severity, can be psychotic or with remission specifiers, with catatonic features, with postpartum features, with or without full inter episode recovery, with seasonal pattern and with rapid cycling.
b) Poor insight compulsive and Obsessive and Obsessive and compulsive disorder without poor insight. c) A cute Post traumatic stress disorder, Chronic Post traumatic stress disorder and Post traumatic stress disorder with delayed onset. d) Acute stress disorder. e) Generalized anxiety disorder. f) Anxiety disorder NOS (Not Otherwise Specified). g) Anxiety disorder due to other medical conditions ( should be indicated e. g substance induced) Depressive disorders
a) Single episode depressive disorder; classified according to severity, psychotic or with remission specifiers, chronic, with catatonic features,with melancholic features,with atypical features, with postpartum features, and recurrent episode depressive disorder; that can be grouped into the following severity, psychotic or with remission specifiers,chronic, with catatonic features with melancholic features,with atypical features, with postpartum features specifiers and with seasonal pattern.
b) Dysthymic disorders; can be of early onset or late onset or with atypical features. c) Depressive disorders NOS (Not Otherwise Specified) (pg 20-21). TYPE OF DISORDER ANXIETY CLASSIFICATION a) Non- agoraphobic panic b) agoraphobic Panic. c) Specific phobia; Can be blood injury phobia, animal phobia, natural environment phobia, situational and other phobias. d) Social phobia, can be a generalized type or not. e) Agoraphobia not associated with panic disorder. f) Body dysmorphic disorder g) Hypochondriasis with poor insight or without.
h) Somatoform disorder NOS (Not Otherwise Specified) (pg. 20). TYPE OF DISORDER SOMATOFORM CLASSIFICATION a) Undifferentiated somatoform disorder b) Conversion disorder. Types; with sensory symptom or without, with motor symptom or without, with seizures and convulsions and with mixed presentations. (pg. 21). c) Pain disorder; further classified into two. Psychological factors dependent Pain disorder and Pain disorder caused by psychological factors and the general medical condition of a person.
Pain disorder can be acute or chronic, can either be acquired or life long, (pg. 21-22) d) Somatization disorder e)Somatoform disorder NOS (Not Otherwise Specified)-disorders with no specific symptoms as any other somatoform disorder. Mood disorders: Mood disorders are those that affect a person’s mood. This is the major feature in mood disorders. They are characterized by mood episodes which act as the building blocks for the diagnosis. They include; major depressive episode, manic episode, Hypo manic episode and mixed episode.
Mood disorders are divided into four categories; Mood disorders due to general medical condition, substance-induced (which are based on etiology), depressive disorders and bipolar disorders. Depressive disorders differ from bipolar disorders due to involvement of episodes. Bipolar disorders involve all episodes unlike depressive disorders that have no episode involvement. Bipolar disorders include; bipolar disorder not otherwise specified, Cyclothymic disorder, bipolar 1, and bipolar II. Depressive disorders are; major depressive disorders, depressive disorders NOS and Dysthymic disorders (pg.
345) Anxiety disorders: Anxiety disorders mostly have agoraphobic and panic features. Agoraphobia is the fear of places or things that can cause embarrassment or fear, while panic is the feeling of intense apprehension or terror associated with feelings of complete destruction or having no way out to solve a problem. Anxiety disorders therefore have psychological symptoms (cognitive or somatic) that can easily be identified as the cause of a medical problem (pg. 429). Somatoform disorders: Somatoform disorders is characterized by physical symptoms as the main features.
The physical symptoms cause social distress,clinical distress, disturb the normal functioning and cause occupational distress. These disorders are involuntary and different from the psychological factors that affect a medical condition. Somatoform disorders do not have a diagnosable condition that can fully explain the physical symptoms (pg. 485). The disorders are grouped together based on clinical utility and do not share etiology or mechanism. REFERENCE American Psychiatric Association Handbook, (2000). DSM IV-TR Classification of Mood, Anxiety and Somatoform Disorders. American Psychiatric Pub. America.